Individual
MRS. JUDY L KIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
301 S UNION BLVD, COLORADO SPRINGS, CO 80910-3123
(719) 578-3218
Mailing address
5648 RANGE RIDER DR, COLORADO SPRINGS, CO 80923-4139
(719) 623-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64681
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31074332
—
CO
Enumeration date
02/05/2008
Last updated
02/05/2008
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